NUR 310 Exam 1
What nursing care behavior by the nurse engenders a client's trust in the nurse
A nurse answers the client's questions about an upcoming test in a calm gentle voice while making eye contact with the client.
What nursing care behavior by the nurse engenders a client's trust in the nurse?
A nurse answers the client's questions about an upcoming test in a calm gentle voice while making eye contact with the client.
Nurses use social media to share ideas, develop professional connections, access educational offerings and forums, receive support, and investigate evidence-based practices. Which is an example of the proper use of social media by a nurse?
A nurse uses a disclaimer to verify that any views the nurse expresses on Facebook are the nurse's alone and not the employer's.
A nurse is completing a health history on a client who has a hearing impairment. Which action should the nurse take first to enhance communication?
Assess how the client would like to communicate
A nurse is completing a health history with a newly admitted client. During the interview, the client presents with an angry affect and states, "If my doctor did a good job, I would not be here right now!" What is the nurse's best response?
Be silent and allow the client to continue speaking when ready.
A family has lost a member who was treated for leukemia at a nursing unit. The nurse provides emotional support to the family and counsels them to cope with their loss. Which quality should the nurse use in this situation?
Empathy
A nurse is obtaining a history from an adult female client. When the nurse asks how many times the client has been pregnant, the client answers, "I have four kids." Which statement, made by the nurse, seeks clarification of the original question?
I understand you have four kids; how many times have you actually been pregnant?
It is important for the nurse to empathize with the client to develop a positive, therapeutic relationship. What is a characteristic of empathy?
Identifying with the client's feelings
The client does not speak the dominant language. The nurse plans on providing preoperative teaching and uses an interpreter to communicate with the client. What intervention(s) will the nurse employ to aid in interpretation? Select all that apply.
Inform the interpreter of the expected outcome of the communication exchange., Look at the client while speaking., Speak slowly, using nontechnical term
A client comes into the urgent care center to have sutures removed on an arm. The nurse finds significant crusting along the suture line. The client states not having time to get the sutures removed a week prior, as directed. The nurse soaks the crust and attempts to remove the sutures. As the nurse attempts the suture removal, the client frequently pulls the arm away and tells the nurse, "You are taking too long and it is hurting a little bit. Just pull them out and get it over with." Which statement is an example of appropriate therapeutic response?
It is taking longer for me to remove the sutures because the delay allowed the crust to form and adhere to the sutures, making it harder and sometimes painful to remove the
A nurse enters the client's room and begins the process of establishing a nurse-client relationship. The nurse introduces oneself and informs the client how long the nurse will be caring for the client. What additional statement does the nurse need to communicate with the client?
Let me know if you have concerns regarding your care.
The nurse is talking with a client who is thinking about obtaining a second opinion regarding the surgeon's recommendation for surgery. Which response by the nurse is considered an advocacy response?
Let us know if we can answer any further questions after you obtain your second opinion
A nurse is calling a health care provider to communicate a change in the client's condition. According to the ISBARR format for handoff communication among health care personnel, which is the most appropriate way to begin the conversation?
My name is Sue Smith, RN, and I am calling regarding Mrs. Jones in room 356 at Jefferson Hospital.
A nurse is caring for a client in a semi-private room. How will the nurse prepare a private environment to discuss the client's plan of treatment?
Pull the curtain dividing the two beds
A client is scheduled for thoracentesis. The nurse assesses that the client appears anxious about the procedure and needs honest support and reassurance. What is the most appropriate response by the nurse to this client?
The needle causes discomfort or pain when it goes in, but I will be by your side throughout and will help you hold your position.
Which is an open-ended question?
Why did the health care provider prescribe this medication for you
A nurse touches the client's hand while discussing the client's diagnosis. This action is:
a communication channel.
A nurse during orientation notices that the preceptor gives all subcutaneous injections on a 45-degree angle. When the new nurse asks the preceptor the rationale for the practice the preceptors states, "This is how I do it, and this is how you will do it." The new nurse recognizes this behavior to be:
aggressive
A nurse is attempting to complete an admission database. While taking the history, the nurse notices the client appears uncomfortable and slightly tachypneic. The nurse should:
allow the client to set the pace
A nurse suspects that a client may have a hearing problem. The nurse should attempt to consult:
an audiologist
The nurse communicates with a newly admitted client. Which nonverbal behavior will the nurse note?
client's gestures
A 19-year-old male college student accompanies the pregnant partner to the emergency department. The client states, "My parents are not aware that I am having a child with my partner. If they do, they might not send me to school anymore. What is the best thing to do?" The nurse responds,"What do you think is the best thing to do? The therapeutic communication technique employed by the nurse is__________, as evidenced by
reflection, directing the client's response back to the client